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1205318334
ALYSSA LEE GRANT
SOUTH PORTLAND, ME
NPI
1205318334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT4627)
Enumeration Date
2018-09-05
Last Update Date
2023-02-10
Business Address
ALYSSA LEE GRANT DPT
119 GANNETT DR
SOUTH PORTLAND, ME 04106-6942
Phone number: 207-773-0040
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Mailing Address
ALYSSA LEE GRANT DPT
119 GANNETT DR
SOUTH PORTLAND, ME 04106-6942
Phone number:
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